Provider Demographics
NPI:1679176564
Name:QUEST MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:QUEST MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KADIDATOU
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAWARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-448-5831
Mailing Address - Street 1:1747 HOOPER AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-8165
Mailing Address - Country:US
Mailing Address - Phone:848-448-5831
Mailing Address - Fax:
Practice Address - Street 1:1747 HOOPER AVE STE 15
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8165
Practice Address - Country:US
Practice Address - Phone:848-448-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:QUEST MEDICAL TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)